ICD-10 Code B27.92 | Infectious mononucleosis, unspecified with meningitis Symptoms, Diagnosis, Billing

Infectious mononucleosis, unspecified with meningitis is a viral infection primarily caused by Epstein-Barr virus (EBV) that leads to symptoms such as fever, sore throat, and lymphadenopathy, along with neurological complications like meningitis. Accurate coding with ICD-10 Code B27.92 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this condition.

What is ICD-10 Code B27.92 for Infectious mononucleosis, unspecified with meningitis?

ICD-10 Code B27.92 represents Infectious mononucleosis, unspecified with meningitis, indicating a viral infection characterized by fever, fatigue, and lymphadenopathy, accompanied by inflammation of the protective membranes covering the brain and spinal cord. This code should be used when documenting cases of infectious mononucleosis that present with meningitis, ensuring accurate billing and clinical records.

ICD-10 Code B27.92 – Clinical Definition and Explanation of Infectious mononucleosis, unspecified with meningitis

Infectious mononucleosis, unspecified with meningitis is primarily caused by the Epstein-Barr virus, leading to systemic symptoms and potential complications such as meningitis. This condition requires prompt medical attention due to its potential severity and complications.

Key Clinical Features:

• Fever and chills, often accompanied by fatigue and malaise.
• Sore throat with significant lymphadenopathy.
• Neurological symptoms indicating meningitis, such as headache and neck stiffness.
• Elevated white blood cell count and atypical lymphocytes on laboratory tests.

ICD-10 Code B27.92 for Infectious mononucleosis, unspecified with meningitis – SOAP Notes & Clinical Use

ICD-10 Code B27.92 is utilized in SOAP notes to document the clinical presentation, assessment, and treatment of patients with infectious mononucleosis and meningitis. This code aids in capturing the complexity of the patient's condition in both acute and chronic care settings.

What Does ICD-10 Code B27.92 for Infectious mononucleosis, unspecified with meningitis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B27.92 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of infectious mononucleosis with meningitis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B27.92 – Infectious mononucleosis, unspecified with meningitis

Infectious mononucleosis with meningitis may require hospitalization for monitoring and treatment. Management focuses on supportive care and addressing complications.

Antibiotic Therapy:

• Antibiotics are not typically indicated unless a secondary bacterial infection is present.
• If bacterial meningitis is suspected, empiric therapy may include ceftriaxone or vancomycin.
• Duration of antibiotic therapy varies based on clinical response and culture results.

Supportive Care:

• Hydration and electrolyte management.
• Analgesics and antipyretics for fever and pain relief.
• Corticosteroids may be considered in severe cases to reduce inflammation.

Infection Control:

• Standard precautions should be followed to prevent transmission.
• Isolation may be necessary in cases of suspected viral meningitis.
• Education on hygiene practices to prevent spread among close contacts.

How to Document Symptoms of Infectious mononucleosis, unspecified with meningitis (ICD-10 B27.92) in SOAP Notes

Subjective:

• Patient reports severe fatigue and malaise lasting several days.
• Complaints of a sore throat and difficulty swallowing.
• History of fever and chills over the past week.
• Patient mentions recent exposure to someone diagnosed with mononucleosis.

Objective:

• Vital signs: Temperature 101°F, heart rate 90 bpm.
• Physical examination reveals significant cervical lymphadenopathy.
• Neurological exam shows mild neck stiffness and photophobia.
• Laboratory tests indicate elevated white blood cell count with atypical lymphocytes.

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SOAP Note Guidelines for Diagnosing Infectious mononucleosis, unspecified with meningitis (ICD-10 Code B27.92)

Assessment:

• Diagnosis: Infectious mononucleosis with meningitis, moderate severity.
• ICD-10 Code: B27.92.
• Contributing factors: Recent exposure to infectious mononucleosis.
• Symptoms consistent with viral etiology and neurological involvement.

Plan:

• Initiate supportive care with hydration and analgesics.
• Consider hospitalization for close monitoring of neurological symptoms.
• Educate patient on symptom management and when to seek further care.
• Schedule follow-up in one week to reassess symptoms and recovery.

Treatment & Plan Section for ICD-10 Code B27.92 – Infectious mononucleosis, unspecified with meningitis

• First-line treatment includes hydration and symptomatic relief with NSAIDs.
• Consider corticosteroids for severe inflammation or airway obstruction.
• Monitor for complications such as respiratory distress or neurological deterioration.
• Follow-up appointments should focus on symptom resolution and recovery progress.

Using ICD-10 Code B27.92 for Infectious mononucleosis, unspecified with meningitis in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
• Use the code in conjunction with relevant laboratory and imaging studies to support the diagnosis.
• Align treatment plans with clinical guidelines to justify billing and reimbursement.
• Include any additional codes for complications or comorbidities as necessary.

Related ICD-10 Codes Often Used with Infectious mononucleosis, unspecified with meningitis

• B27.90 – Infectious mononucleosis, unspecified, without meningitis
• A87.9 – Viral meningitis, unspecified
• B27.91 – Infectious mononucleosis, unspecified, with other complications
• B19.20 – Chronic viral hepatitis, unspecified

ICD-10 Code B27.92 in Medical Billing and Insurance for Infectious mononucleosis, unspecified with meningitis

ICD-10 Code B27.92 is crucial for billing in hospital, emergency room, or infectious disease settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant clinical findings and treatment plans to support the use of this code.
• Use in acute care settings where infectious mononucleosis with meningitis is diagnosed.
• Ensure that all chart elements, including lab results and treatment responses, are clearly noted.

Common CPT Pairings: